10824 SW 118TH COURT 10824 SW 118"' Cour!
\ CITY OF T I GA R D _-__ ELECTRICAL PERMIT
DEVELOPMENT SERVICES f FRMIT#: ELC2002-00590
13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 11/7/02
517E ADDRESS: 10824 SW 118TH CT PARCEL: 1 S 1346D-10200
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: 030 JURISDICTION: TIG
Project Description: Install 3 branch circuits. 1 to hot tub and 2 for future.
RESIDENTIAL UNIT _ TEMP SRV;./FEED_FRS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
-ACH ADD'L 500SF: 201 - 400 amp: SIGN/OU LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL.,PANEL.
MANF HM/SVCI FDR: 601+amps - 1000%olts: MINOR LABEL (10):
__ SERVICEiFEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS_
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
2.01 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: FA ADD'L BRNCH CIRC: 2 IN PLANT:
G01 - 1000 amp: _ ___ _ P1..AN REVIEW SECTION
1000+ amp/volt:
> 4 RES UNITS > 600 VOLT NOMINAL.
Reconnect only: SVC/FDR—225 AMPS: CLASS AREAISPEC OCC:
Owner: Contractor: _
ROBINSON,STEVEN S+MARY E C.J.CONNER
10824 SW 118TH COURT 3755 SE 150TH AVE.
TIGARD,OR 97223 PORTLAND,OR 97236
Phone: Phone: 503-515-1097
Reg#. ELL 2r,-1134
FEES
Description Date Amount
Required Inspections
1Ea.PRM l'1 I L.0 I'rrnut I I 'u' $60.15 —
ITA\j 8':-;,Siatr'I'ae I I u? $481 Rough-in
Flect'I Final
Total $64.96
I
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,StLte of OR. Specialty Codes and all other pWcabie laws.
All work will be done In accordance with approved plans. This permit will expire if work is not started within 180 days?-
issuance, r if w rk is
suspended fo,more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon ili}�NotHicat n C ter. se
rules are set forth in OAR q'i2-001-0010 through OAR 952-001-0100 You may obtain copiefof thes>rrya >!ordire qiffdftAoUN,a�(5
(131
246-6699 or1.800-33?-? 44. Y
Issued BY: /(,k.cE r-z/�( ���i (, r " Permit Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is nut intended for sale, lease, or ent.
OWNER'S SIGNATURE: .- DATE:
CON TRACTOR INSTALLATION_ONLY
SIGNATURE OF SUPR. ELEC'N: _� `_ _ DATE:__-__ _
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
rl�
Electrical Permit Application
Date received:r --` -(,� '�. Permit no �
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: ByjeD I Receipt no..
Phone: (503) 639-0171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
I TYPE OF-PXRM1T4'
Fe&- ami2 fly dwelling or accessory U C'otnntuft:l:tl/industrtal U Multi-family U Tenant improvement
w construction 0 Addition/alteration/replacement U Other: U Partial
INFORMA it
Job address: ` 1 1 Blef,g_no. Suite no.: Tax map/tax lot/account no..
Lot: Block: Subdivision:
Project name: Description and location of work on premises:
Estimated date of completion/inspection: !
I 1 4Mi.3"
Job no: _ ice MIN
Business namC: Description (1h_ (c:r.) li,Ld on.inch
r, New resitkmial•single or multi-family per
Address: 'g -- — dwelling unit.Includes attached garage.
City: 5lale0 ZIP. Seniceincluded:
Phon fax:- E-mail• 1000 sq.ft,or less 4
y Each additional 500 sq.ft.or onion thereof
CCB n0.: Elec.hu5 ic.no: e+ Limited energy,rcsidcntial 2
it el iC.tit T /a -�, d /:: %-c' LimitedenerEy.non-residential 2
T>fAYUO Ench manufactured home or modular dwelling
5 oat re of sup_ervisi electrician a wd — )at Service and/or feeder 2
Sup.elect.name(print), r '� Ltcenseno � Servlcesorfeeders-Installation,
alteration or relocation:
200 amps or less 2
Name(pont): r ( ( _ -� �'' 201 ampslo4 maps 2
ri 401 amps to 600 amps 2
Mailing address: �C 601 amps to 1000 amps 2
Cit O _ Slate_ LIP: Over It10(lamps orvolts 2
Phone.'CR rax: . L-mail: — Reconnect only
Owner installation:Ti-installat' b0W'V-mndrerrLrerl+et4s►1 own Temporary services or feeders-
which is fit)(into -k Ste,Kase,176116 ur ext;hangC-aLWfdin}'(o Installation,dteratIon,orrelocation:
o447 )T''-'-- —" -+ 2W amps or less 2
201 amps to 41x1 amps _ 2
Owner's SI — -- 401 to 6(x1 am is — 2
Bran It circuits-new,alteration,
orritomsion per panel:
A. Pee for branch circuits with purchase of
service or feeder fee,each branch circuit _ 2
Cllr _ Slate: ?.I P: B. Fee for branch circuits without purchase (�
PhonC: of service or feeder fee,first branch circuit: 2
LL Each additional hrnnch circuit `
Misc.(Service or feeder not Included):
l7 s over 225 mnps•commeninl U Ilenith-care facility Each pump or irrigation circle 2
1157artious locanillY------ Each sign or outline lighting 2
fmuil or
Signal circuit(s)or n limited energy panel,
U Sy. iover6l�yu)h►t ttttlltlt nl�- more residential units in one structure alteration.or extension* 2
U Bull over three stories U Feeders,4W amps or tonte *hcscn motr
Ud trpsaHanrf averm persons :...wLr.usrcrur*.aw.Rv park - —
_---�--- F'ich additional Inspect Ion over the allowable In iouy oft drove
U F.gress/lightin U t4her- — — �- Per Inspection —
y Invextignlionfee
Te are not applicable to temporary construction aero•ce. Other -
Not Ill jun diction actern credit cools,pleaw call juriMtictlon f,x trn>te infnrntanrar Notice:'Phis permit application Permit fee.....................$
U Visa U Mosle-Ward expires II•a permit is not obtained Plan review(a( —_ %) $ _
t•redo card number within 180 days alter it has been State surcharge(896)....$
--------- —
.xp` l'e' accepted as complete. TOTAL .......................$
Marne ofcu r u n ort ere tl cr --'
—
Y'ardholder Njttraturc ---- -�maunt`- AAtLg61S IMSN('Uhh
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES'
— TYPE OF WORK INVOLVED - RESIDEN'('IAL ONLY
n-- — -- $75.00
Complete Fee Schedule Below P.estricted Energy Fee....................................................
Number of Inspections per ep rrnit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of work Involved:
Residential-per unit $145.15 4 Audio and Stereo Systems'
1000 sq ft.or less
Each additional 500 sq ft or $33.401 Burglar Alarm
portion thereof _—_
Limited Energy $75.00
Each Manurd Horne or Modular $90 9U2 E] Garage Door Opener'
Dwelling Service or Feeder
services or Feeders Heating,Ventilation and Air Conditioning System'
Installatio, alteration,or relocation $80.3C
200 amps or less — 2 Vacuum Systems'
201 amps to 400 amps $106.851_� _
401 amps to 600 amps $160.60 0.60 2 f—'1 Other
601 amps to 1000 amps — � $454.65 � 2 l J
Over 1000 amps or volts — $66.65 2
Reconnect only __.— — ——
TYPE OF WORK INVOLVED • COMMERCIAL ONLY
Temporary Services or Feeders Fee for each system.......................................................... $75.00
Installalicn,alteration,or relocation $66.85 _ 2 (SEE OAR 918-260-260)
200 amps or less $100.30 2
201 amps to 400 amps $133.75— 2 Check Type of Work Involved:
401 amps to 600 amps Over 600 amps to 1000 volts, Audio and Stereo Systems
see"b"above. I ❑
Branch Circuits Boiler Controls
Now,alteration or extorsion per panel
a)TI ie fee for branch cncults Clock Systems
with purchase of service or
feeder fee.
Each branch circuli $6.65 '— I Data Telecommunication Installation
-—
b)The fee for branch circuits ` Fire Alarm installation
without purchase of service
Firstft bran h c. � $46.65 _
First branch circuit � HVAC
Each additional branch circuit $6.65 a_
Miscellanuous Instrumentation
(service or feeder not Included) $53.40_ __
Each pump or irrigation circ.o -- $53 40- - {--+ Intercom and Paging Systems
Each sign or ou!line lighting _
Signal crcult(s)or a limited energy 5.00 Landscape Irrigation Control'
i
panel,alteration or exlenrion $125 00
Minor Labels(10) - Medical
IEach additional Inspection over _
the allowable In any of the above E] Nurse Calls
Por Inspection $62.50.50
Per hour �— _ $62$62$13 75 — Outdoor Landscape Lighting'
In Plant
Fees: [] Prolective Signaling
Enter total of above fees Other
8%state Surcharge $ Number of Systems
25%Plan Review Fee ' No licenses are reg0red Licenses are required for all other Installations
See"Plan Revlew"section on $ �"�` —
front of npOk atirni $ -0�.,/� Fees:
Total Balance Durr �riLi_ 0�I Enter total of above feest EJ $ --
Trust Account;l' -_ — _ 8%Stcte Surcharge $ --
Total Balance Due
All New Commercial Buildlnrs require 2 sets of plans.
0dsts\form%\elc-fcas.doc 08/30/01
CITY OF TIGARD /�Hour� - -
Inspection line: (503)639-41175
BUILDING MST -
-INSPECTION DIVISION -JTT7:F
BUP — --
Received / _ _ Date Requested - __-- PM __-. - BUP
Location �1 `w'`- Suite MEC
Contact Person ..__ -. _ h( ) L5- -Vf 7 PLM
Contrn.ctor _ _� h SWR
BUILDING Tenant/OwnerELC
Footing -- Z/ S T- ELC
Foundation Access'
Ftg Drain Z4�t/� ELR --- - -- -
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam - ----- - ---
Shear Anchors -- or- ---
Ext Sheath/Shear - - ---------
Int Sheath/Shear
Framing ----
Insulation
Drywall Nailing ---- -- --- - -------- --- - --- -
Firewall
Fiie Sprinkler -------
Fire Alarm
Susp'd Ceiling - - - -
Roof _
Other:
Final
PASS PART FAIL -
PLUMBING --
Post& Beam -
Under Slab -
Rough-In
Water Service
Sanitary Sewer -�
Rain Drains --- - - --- -- _--
Catch Basin/Manhole
Storm Drain -- -�---- ---
Shower Pan
Other.
Final - - --- -- - _ -_.
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In -__ - -_-- -
Gas Line
Smoke Dampers -- ------_- --_- __.--- -- -- _.
Final
PASS PART FALL --- -" - -- -
ELECTRICAL
Service
Rough-in
UG/Slnb
Low Voltage
Fire-Alarm49-T �.
nlay Reinspection fee of$___..___ required before next inspection. Pay at City Hall, 13125 SW Hall C:vd.
ASS PAR FAIL_ _ ✓-
SITE Please call for reinspection RE: -_-___ _ o Inspect-no acces
Fire Supply Line
ADA / '-
Approach/Sidewalk Date .. �'/ y.. - Inspoeor --_-. __1 -_ ut
Other:
Final DO N13T REMOVE thle Inspection reoord from the fob site.
PASS PART FAIL
24-
CITY OF TIGARD Inspeur -
nspection Line: (503)639-4175 MST
BUILDING Business Line: (503)539-4171 BLIP
INSPECTION DIVISION
PM BLIP
Received -- —Date Requested AM MEC — _-----
Location �1 S f'"�i PLM ------
Contact Person ._-- — --- Ph J SWR -
Ph
Contractor ELC 49
BUIL_ -.- Tenant/Owner _-.--- -- ELC --
Footing ELR _.
Foundation Access: ----
Ftg Drain SIT —
Crawl Drain inspection Notes: — —
Slab _ - — 0 -_-.-_--__--_-
Post&Beam --_ -- Q® < -
Shear Anchors -
Ext Sheath/Shear f=" ---_--
Int Sheath/Shear --
Framing - _-_-_--_
Insulation
Drywall Nailing - --
Firewall -----
Fire Sprinkler ---
Fire Alarm -_ _-_-
Susp'd Ceiling
Root ----- -
Other: --
Final _.-- ----------- --
PASS PART FAIL --
PLUMBING _- P- - --
Post&Beam
Under Slab
Rough-In —__ _.-.---
Water Service -- ---
Sanitary Sewer ____..__--------
Rain Drains - - - -�`--
Catch Basin/Manhole -
Storm Drain ---
Shuwer Pan
Other: -- ------- -Final
PASS--
------
PASS PART FAIL - ----- -`-
_----
Post&Beam
Rough-in
Gas
----- -- - _ _ -_-
Gas Line ___--
Smoke Dampers --'- -- ---
Final -
PASS PART-FAIL -
ELECTRICAL_
Service r .•sl'" ___----_ ---------------.
Rough-In
UG/Slab - --
Low Voltage ----
Fire larm -required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
Reinspection tee of 9;. _A... T Unable to inspect -no access
S PART FAIL ---
S -- - - Please call for reinspection RE:
Fire Supply Line -
ADAD _� � ®+�--
Approach/Sidewalk IIIsAr
Other:_-_____�_ — DO NOT REMOVE thin Innpecdon record from the fobShe-
Final
;,ASS PART FAIL